Petition For Building Code Variance Page 3

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F-62537
Page 3 of 3
VI. Fire Department Position Statement
Complete the following for variances from Wis. Admin. Code chs. SPS 361-366 (Commercial Building Code) and other fire related
requirements.
I have read the Petition for Building Code Variance (F-62537) and recommend the following. (Check appropriate box.)
Approval
Conditional Approval
Denial
No Comment
Explanation for Recommendation (Identify any conflicts with local rules and regulations and explain suggested conditions.)
Name – Fire Department
Notify of Petition Outcome
Yes
No
Address
City
State
Zip Code
Name – Fire Chief or Designee (Print or type.)
Telephone No.
SIGNATURE – Fire Chief or Designee
Date Signed
VII. Municipal Building Inspection Recommendation
Complete the following for variances from Wis. Admin. Code chs. SPS 361-366 (Commercial Building Code). Submit a copy of any
municipal orders.
I have read the Petition for Building Code Variance (F-62537) and recommend the following. (Check appropriate box.)
Approval
Conditional Approval
Denial
No Comment
Explanation for Recommendation (Identify any conflicts with local rules and regulations and explain suggested conditions.)
Name – Municipal Official (Print or type.)
Name – Municipality Exercising Jurisdiction
Telephone No.
Address
State
Zip Code
SIGNATURE – Municipal Official
Date Signed

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